Galactorrhea in an adolescent girl: A case report and literature review on undertaking and treatment,Adolescente con galattorrea: Caso clinico e revisione della letteratura sulla corretta presa in carico e trattamento

Galactorrhea is a common clinical problem in adult endocrinology and can rarely affects adolescent girls. It is usually associated by elevated prolactin levels and, in this cases, accompanied by amenorrhea. After pregnancy is ruled out, patients with galactorrhea should be evaluated to exclude hyperprolactinemia due to physiologic or pathologic conditions, such as medications, stressfull situations, manual stimulations, pituitary adenomas, hypothalamic lesions and thyroid disorders. Laboratory and instrumental tests are important diagnostic tools that should be employed when clinically indicated. The treatment of galactorrhea due to hyperprolactinemia is cause-specific, both through surgical and medical options. Normo-prolactinemic patients (idiopathic galactorrhea) can be reassured and do not need treatment, except in cases of important galactorrhea. The present work aims to describe an unusual case of adolescent with euprolactinemic idiopathic galactorrhea and through a review of the literature gives indications on the adequate management of this disorder in the pediatric-adolescent period.